After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for rejecting claims.
www.propublica.org
More than 200 million Americans are covered by private health insurance. But data from state and federal regulators shows that insurers reject about 1 in 7 claims for treatment. Many people, faced with fighting insurance companies, simply give up:
One study found that
Americans file formal appeals on only 0.1% of claims denied by insurers under the Affordable Care Act.
UnitedHealth Group annual gross profit for
2023 was $90.958B, a 14.24% increase. UnitedHealth Group annual gross profit for 2022 was $79.617B, a 14.31% increase from 2021. UnitedHealth Group annual gross profit for 2021 was $69.652B, a 3.96% increase from 2020.
Do you suspect this particular CEO had a vested interest in serving those patients with needed care or denying coverage in order to meet EPS targets and shareholder value?
Thoughts and prayers?